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<html>
<head>
<meta http-equiv="Content-Type"
content="text/html; charset=iso-8859-1">
<meta name="GENERATOR" content="Microsoft FrontPage 2.0">
<title>High Tech Widgets Check Out</title>
</head>
<body bgcolor="#FFFFFF">
<p align="center"><font color="#000000" size="6"><strong>High
Tech Widgets Check Out</strong></font></p>
<p>&nbsp;</p>
<p><font color="#000000" size="4">Select the Payment Method to
use for your purchase:</font></p>
<form method="POST">
<p><input type="submit" name="PAYMENT_METHOD"
value="Visa Card"></p>
</form>
<form method="POST">
<p><input type="submit" name="PAYMENT_METHOD"
value="Discover Card"></p>
</form>
<form action="https://www.e-gold.com/sci_asp/payments.asp" method="POST">
<p>
<input type="hidden" name="PAYEE_ACCOUNT" value="900123">
<input type="hidden" name="PAYEE_NAME" value="High Tech Widgets">
<input type="hidden" name="PAYMENT_AMOUNT" value="109.99">
<input type="hidden" name="PAYMENT_UNITS" value="1">
<input type="hidden" name="PAYMENT_METAL_ID" value="1">
<input type="hidden" name="STATUS_URL"
value="https://www.high-tech.com/cgi-bin/xact.exe">
<input type="hidden" name="PAYMENT_URL"
value="https://www.high-tech.com/cgi-bin/chkout1.exe">
<input type="hidden" name="NOPAYMENT_URL"
value="https://www.high-tech.com/cgi-bin/chkout2.exe">
<input type="hidden" name="BAGGAGE_FIELDS"
value="ORDER_NUM CUST_NUM">
<input type="hidden" name="ORDER_NUM" value="9801121">
<input type="hidden" name="CUST_NUM" value="2067609">
<input type="submit" name="PAYMENT_METHOD" value="e-gold account">
</p>
</form>
<form method="POST">
<p align="center"><input type="submit" name="CANCEL"
value="CANCEL"></p>
</form>
</body>
</html>